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ArticleJournal of intellectual disability research : JIDR2025

'Mind the Gap'-A Survey on Care Gaps and Priorities for the Transition to Adult Healthcare According to Caregivers of Young People With Rare Conditions Associated With Intellectual Disability.

Mirthe J Klein Haneveld, Klea Vyshka, Charlotte M W Gaasterland, Tomasz Grybek, Katarzyna Świeczkowska, ERN‐ITHACA Transition of Care guideline consortium, AnneLoes Van Staa, Agnies M Van Eeghen

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Article in Journal of intellectual disability research : JIDR, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

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6citing papers in PubMed
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3 · Its place in the literature

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6 citing papers in PubMed.

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5 · Who and what money

Authors and funding

8 authors.

Mirthe J Klein HaneveldAmsterdam UMC, University of Amsterdam, Emma Children's Hospital, Amsterdam, the Netherlands.ORCID https://orcid.org/0000-0002-0453-2608
Klea VyshkaEuropean Reference Network on Rare Congenital Malformations and Rare Intellectual Disability ERN-ITHACA, Clinical Genetics Department, Robert Debré University Hospital, Paris, France.
Charlotte M W GaasterlandAmsterdam UMC, University of Amsterdam, Emma Children's Hospital, Amsterdam, the Netherlands.
Tomasz GrybekEuropean Reference Network on Rare Congenital Malformations and Rare Intellectual Disability ERN-ITHACA, Clinical Genetics Department, Robert Debré University Hospital, Paris, France.ORCID https://orcid.org/0000-0001-7994-8280
Katarzyna ŚwieczkowskaEuropean Reference Network on Rare Congenital Malformations and Rare Intellectual Disability ERN-ITHACA, Clinical Genetics Department, Robert Debré University Hospital, Paris, France.
ERN‐ITHACA Transition of Care guideline consortium
AnneLoes Van StaaResearch Centre Innovations in Care, Rotterdam University of Applied Sciences, Rotterdam, the Netherlands.
Agnies M Van EeghenAmsterdam UMC, University of Amsterdam, Emma Children's Hospital, Amsterdam, the Netherlands.

Funding

European Reference Network on Rare Congenital Malformations and Rare Intellectual Disability (ERN-ITHACA) 101156387
6 · The paper itself

Abstract

backgroundFor young people with rare conditions associated with intellectual disability, the transfer from paediatric to adult healthcare providers is often complicated. European Reference Network ERN-ITHACA (Intellectual disability, TeleHealth, Autism and Congenital Anomalies) on Rare Congenital Malformations and Rare Intellectual Disability aims to develop a clinical practice guideline to improve this transition. The aim of this study was to identify which aspects of the transition to adult care matter most and to describe the current care gap as experienced by European caregivers to inform the guideline scope.

methodsAn international web-based survey was conducted by ERN-ITHACA in January-February 2023. Priorities for a good transition process and current care gaps in Europe were identified using the 'Mind the Gap' scale. The surveys were created in plain and easy-to-read language and available in nine European languages.

resultsOne hundred fifty-seven caregivers from 15 European countries completed the survey, representing over 40 conditions, including the Phelan-McDermid, Rubinstein-Taybi, 22q11.2 deletion and Kleefstra syndromes. Care gaps were identified, particularly related to process issues such as the preparation for and adaptation to adult healthcare, supporting independence and planning for the future. Items considered essential for optimal healthcare were related to individualised approaches, information provision and coordination of care. DISCUSSION: Coordinated, specialised, individualised and multidisciplinary care is required to support youth with rare conditions and intellectual disability in the transitional age. Supporting young people's independence, orchestrating multidisciplinary care and ensuring effective communication are particularly challenging in the transition to adult healthcare for this population.

Indexed as

caregiver perspectiveshealthcare transitionintellectual disabilityrare conditionssurvey

Identifiers

PMID40083267
PMCPMC12051228

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